ALS – Stroke Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Noncontrast computed tomography is an acceptable acute brain imaging option for patients
with suspected acute stroke.
Select the correct answer to this question.
True
False - CORRECT ANSWER True
Within how much time from the patient's arrival at the facility should brain imaging be
ordered for a patient with a suspected stroke? - CORRECT ANSWER 10 minutes
A patient received fibrinolytic therapy and was transferred to a monitored bed on a dedicated
stroke unit. Care would now focus on which activities?
Select all correct options that apply.
Supporting airway, breathing and circulation
Managing thyroid function
Assessing for signs of intracranial bleeding
Managing glucose per protocol
Managing blood pressure - CORRECT ANSWER Supporting airway, breathing and
circulation
Assessing for signs of intracranial bleeding
Managing glucose per protocol
Managing blood pressure
If brain imaging reveals hemorrhage, treatment depends on the cause and severity of the
bleeding. In addition to basic life support measures, care should include which other
measures?
Select all correct options that apply.
Seeking expert consult (neurologist/neurosurgeon)
Increasing intracranial pressure
, Considering treatment of hypertensive crisis
Treating seizures - CORRECT ANSWER Seeking expert consult
(neurologist/neurosurgeon)
Considering treatment of hypertensive crisis
Treating seizures
Which actions are indicated as part of the primary assessment of a patient with suspected
acute stroke?
Select all correct options that apply.
-Obtain a complete patient history.
-Establish cardiac monitoring.
-Obtain a chest radiograph.
-Place the patient on NPO status.
-Administer supplemental oxygen if pulse oximetry reveals oxygen saturation less than 94%.
- CORRECT ANSWER Obtain a complete patient history - Incorrect
Establish cardiac monitoring - Correct
Obtain a chest radiograph - Incorrect
Place the patient on NPO status. - Incorrect
Administer supplemental oxygen if pulse oximetry reveals oxygen saturation less than 94%.
Correct
Which conditions should be considered as part of the differential diagnosis for a patient who
presents with signs and symptoms of acute stroke?
Migraine
Seizure disorder
Hypoglycemia
Myocardial infarction - CORRECT ANSWER Migraine - Correct
Seizure disorder - Correct
Hypoglycemia - Correct
Myocardial infarction - Incorrect
AND CORRECT ANSWERS
Noncontrast computed tomography is an acceptable acute brain imaging option for patients
with suspected acute stroke.
Select the correct answer to this question.
True
False - CORRECT ANSWER True
Within how much time from the patient's arrival at the facility should brain imaging be
ordered for a patient with a suspected stroke? - CORRECT ANSWER 10 minutes
A patient received fibrinolytic therapy and was transferred to a monitored bed on a dedicated
stroke unit. Care would now focus on which activities?
Select all correct options that apply.
Supporting airway, breathing and circulation
Managing thyroid function
Assessing for signs of intracranial bleeding
Managing glucose per protocol
Managing blood pressure - CORRECT ANSWER Supporting airway, breathing and
circulation
Assessing for signs of intracranial bleeding
Managing glucose per protocol
Managing blood pressure
If brain imaging reveals hemorrhage, treatment depends on the cause and severity of the
bleeding. In addition to basic life support measures, care should include which other
measures?
Select all correct options that apply.
Seeking expert consult (neurologist/neurosurgeon)
Increasing intracranial pressure
, Considering treatment of hypertensive crisis
Treating seizures - CORRECT ANSWER Seeking expert consult
(neurologist/neurosurgeon)
Considering treatment of hypertensive crisis
Treating seizures
Which actions are indicated as part of the primary assessment of a patient with suspected
acute stroke?
Select all correct options that apply.
-Obtain a complete patient history.
-Establish cardiac monitoring.
-Obtain a chest radiograph.
-Place the patient on NPO status.
-Administer supplemental oxygen if pulse oximetry reveals oxygen saturation less than 94%.
- CORRECT ANSWER Obtain a complete patient history - Incorrect
Establish cardiac monitoring - Correct
Obtain a chest radiograph - Incorrect
Place the patient on NPO status. - Incorrect
Administer supplemental oxygen if pulse oximetry reveals oxygen saturation less than 94%.
Correct
Which conditions should be considered as part of the differential diagnosis for a patient who
presents with signs and symptoms of acute stroke?
Migraine
Seizure disorder
Hypoglycemia
Myocardial infarction - CORRECT ANSWER Migraine - Correct
Seizure disorder - Correct
Hypoglycemia - Correct
Myocardial infarction - Incorrect
